Tynbil: Know the *real* price for healthcare services

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $81.28 / $512.86	Professional		$53.70	$81.28	$512.86
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $85.11 / $851.14	Professional	26	$30.90	$85.11	$851.14
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $44.67 / $141.25	Professional	TC	$25.70	$44.67	$141.25
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $20.89 / $47.86	Professional	26	$16.98	$20.89	$47.86
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $15.85 / $40.74	Professional	TC	$15.85	$15.85	$40.74
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $104.71 / $204.17	Professional		$81.28	$104.71	$204.17
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $60.26 / $114.82	Professional	26	$42.66	$60.26	$114.82
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $45.71 / $89.13	Professional	TC	$38.02	$45.71	$89.13
Aultcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $75.86 / $120.23	Professional		$67.61	$75.86	$120.23
Aultcare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $38.90 / $63.10	Professional	26	$35.48	$38.90	$63.10
Aultcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $36.31 / $58.88	Professional	TC	$33.11	$36.31	$58.88
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $31.62 / $42.66 / $91.20	Facility		$31.62	$42.66	$91.20
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $45.71 / $89.13	Professional		$31.62	$45.71	$89.13
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $75.86 / $134.90	Professional		$33.11	$75.86	$134.90
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $37.15 / $72.44	Professional	26	$16.98	$37.15	$72.44
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.79 / $34.67 / $69.18	Professional	TC	$14.79	$34.67	$69.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Typical Low / Median / Typical High $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $75.86 / $162.18	Professional		$33.11	$75.86	$162.18
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.38 / $51.29 / $102.33	Professional	26	$17.38	$51.29	$102.33
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.49 / $34.67 / $70.79	Professional	TC	$15.49	$34.67	$70.79
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $93.33 / $154.88	Professional		$74.13	$93.33	$154.88
SummaCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $53.70 / $61.66	Professional	26	$38.02	$53.70	$61.66
SummaCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $50.12 / $79.43	Professional	TC	$36.31	$50.12	$79.43
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.39 / $33.11 / $57.54	Facility		$22.39	$33.11	$57.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $70.79 / $181.97	Professional		$40.74	$70.79	$181.97
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $38.90 / $95.50	Professional	26	$22.91	$38.90	$95.50
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $37.15 / $95.50	Professional	TC	$19.05	$37.15	$95.50

Ohio rates for HCPCS 88305